I {name}, request the privilege of admission to Bozeman Aikido LLC (dba Big Sky Aikido), hereinafter called the Association. I understand that Aikido is a martial art involving strenuous exercise and physical contact. I further understand that neither the Association nor the organizers of this Association offer any assurance of guarantees of any sort, nor subscribe to any insurance against injuries to the participants or damage to their property.
In accordance with the law, this dojo does not exclude individuals with medical conditions that do not pose a medically recognized threat to the health or safety of the other students in the normal course of training. I understand that there are some unavoidable circumstances where these conditions may require special caution on my part to minimize danger to others, or myself and I acknowledge that it is my responsibility to act accordingly.
I understand that I may be training with someone who may be infected with diseases that can be transmitted by exchanges of blood, other bodily fluids. These diseases include but are not limited to HIV/AIDS and hepatitis. I acknowledged that I have read and will follow the dojo's procedures for dealing with injuries to myself and others that present opportunities for exposure to blood or body fluids.
I also understand that I may be exposed to individuals in the dojo that may have an infectious disease that may be spread by air borne transmission, respiratory droplets or person-to-person contact. These infectious diseases include but are not limited to the common cold, norovirus, flu virus and other respiratory diseases such as Covid 19 (SARS-CoV-2).
I have read the dojo’s policy on hand washing and other protocols for avoiding the transmission of infectious diseases including not working out if I have a fever greater than 100.4 degrees or other symptoms including chills, sweats, difficulty breathing, new or worsening cough, whole body aches, vomiting or diarrhea (see attached Hygiene Protocol form).
As a condition to participating in martial arts classes and seminars at Bozeman Aikido, I assume the risk of all injuries including the transmission of infectious diseases and hereby hold Bozeman Aikido, their instructors, agents, officers, as well as the owner of the premises, and the Aikido Schools of Ueshiba, Inc. (ASU) harmless from any and all liability (including attorney’s fees and costs) for (1) all claims, actions or damages due to injuries including infectious diseases suffered by me or caused by third parties to me arising out of activities involving Aikido, any other martial arts or physical activities occurring on the premises of Bozeman Aikido; here and/or (2) loss or damage to personal property brought into or left on the premises.
In consideration of the privilege of being admitted to participate in the Association, of receiving the provided instruction and of using the Association’s installations for the classes, I hereby declare that I will personally assume all responsibility concerning any injury, including death, that I may incur or that may be inflicted on me by others during the classes, be it on or off the premises, before, after, during or between class sessions. I hereby hold immune and release the Association, its directors, employees, agents and representatives, the organizers of the Association and the instructors of the Association from all responsibility, accountability and any reparations concerning personal injuries, death, lawsuits, damages, or losses of any nature whatsoever, in law or in equity, relative to the activities mentioned above.
In exchange for the instruction received, I hereby agree and engage, in my name and in the name of my heirs and beneficiaries, never to pursue, legally, or in equity, the Association, its directors, employees, agents or representatives, nor the organizers of the Association in relation to such injuries, lawsuits, damages, responsibilities, accountabilities, reparations or losses.
TO ATTEST TO THIS, I have signed this document and declare that I have read it and understand it.
Signed
{name}
{address}
{contact_phone}
Bozeman Aikido